Provider Demographics
NPI:1245376565
Name:MARCHINI, VICTOR JOSEPH JR (LMFT)
Entity type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:JOSEPH
Last Name:MARCHINI
Suffix:JR
Gender:M
Credentials:LMFT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2051
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95344-0051
Mailing Address - Country:US
Mailing Address - Phone:209-386-0971
Mailing Address - Fax:209-386-0971
Practice Address - Street 1:625 W OLIVE AVE STE 102A
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2419
Practice Address - Country:US
Practice Address - Phone:209-386-0971
Practice Address - Fax:209-386-0971
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAMFC 14788106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist